Staff portal
- Patients, providers, appointments, prior auth
- Users, roles, and invites, scoped to the organization
- Full revenue-cycle workbench
- The same UI for KSA or Qatar, driven by the region pack
HealthVerse KSA · English · العربية
Arabic-first, RTL-native. Built for the Kingdom.
The Saudi- and Qatar-tuned sibling of HealthVerse USA. Same clinical spine, same billing engine. Identity rails, currency, coding, payer network, and language speak the region. One REGION flag toggles KSA (SAR, NPHIES, Nafath, mada) or Qatar (QAR, MOPH eClaims, QID, NAS).
Two front doors
One platform, two apps.
A staff portal for operations and clinical work, and an Arabic-first patient portal on the same clinical core. Both read the same records.
Patient portal, Arabic-first
- Mobile-style app with a real RTL layout
- Login with HV ID and date of birth, a stand-in for Nafath
- Care alerts and sig-based medication reminders
- Family switching, in-app and email notifications
Medical timeline
- Encounters, meds, labs, imaging, documents
- Lab-trend charts with reference-range shading
- Explanations that move between clinical and plain language
- Signed consents at every share point
Booking and check-in
- Pre-service patient share shown before the booking is confirmed
- Digital pre-visit check-in with signed consents
- Care-team messaging with clinical routing
- Waitlist, rescheduling, and no-show tracking
AI layer
Grounded on the record.
Deterministic by default. LLM phrasing is optional when an API key is configured. The assistant summarizes what is structured in the timeline. It does not invent a lab value.
Lab interpreter
- Explains a lab value against its reference range
- English or Arabic, matching the UI language
- Cites the exact result it references
Medical summary
- The timeline compressed to a plain-language brief
- A deterministic template, with optional LLM polish
- Diagnoses and medications come from the chart
Care navigator
- Conversational assistant with responsible-AI guardrails
- Points patients to real appointments, providers, and marketplaces
- Falls back to booking a visit when the question is out of scope
Guardrails
- Deterministic mode keeps PHI inside the tenant
- AI text is labeled with a source, timestamp, and consent flag
- Escalation rules for red-flag symptoms
Marketplace
Pharmacy, labs, imaging, inline.
Patients see prices from real providers, order, pay their share, and the fulfilled result posts back into the timeline.
Provider catalogs
- Pharmacy, lab, and imaging prices per provider
- Side-by-side comparison in the patient portal
- VAT rules per region: KSA 15%, Qatar 0% on healthcare
Payments
- mada, STC Pay, and SARIE in KSA
- Statements, installment plans, wallet receipts
- Patient-share collection at booking
- Family-group balance across dependents
Revenue cycle
NPHIES-style RCM.
Charge capture, scrubber, submission, adjudication, denials, appeals, statements, and a ledger, adapted to KSA and Qatar rails.
Charges and claims
- Charge capture with service lines and ICD-10 coding
- Claims workbench with rules-based scrubbing
- Policy validity, annual limits, payer fee schedules
- Custom scrub rules per payer
National rail
- Submission over a simulated NPHIES or MOPH eClaims rail
- FHIR-style message log for audit
- Payer adjudication with denial codes
- Appeals workflow with generated letters
Remittance and ledger
- Remittance batches with auto-matching
- Auto-posting to patient and payer ledgers
- Every debit and credit is traceable
- Patient statements with A/R aging
Work queues
- Everything that needs action, in one queue
- Filter by payer, provider, denial code, and service date
- Collection rate, days in A/R, denial rate
- Defaults configurable per practice
Multi-region
One build. Each region speaks itself.
A single REGION environment variable selects a region pack: currency, VAT, national rails, identity documents, payment methods, and the demo seed's geography.
| Layer | Saudi Arabia | Qatar |
|---|---|---|
| Currency | SAR | QAR |
| VAT | 15% (state-borne for Saudi citizens) | 0% on healthcare |
| Claims rail | NPHIES · CHI | MOPH eClaims · NAS |
| Coding | ICD-10-AM · SBS · ACHI · AR-DRG | ICD-10-AM · SBS · ACHI · AR-DRG |
| Identity | Nafath · National ID · Iqama | QID |
| Payments | mada · STC Pay · SARIE | Local card networks |
| Emergency | 997 / 999 / 911 | 999 |
| Demo seed | Riyadh · Jeddah | Doha |
Clinicians and front desk
Patients, providers, appointments, prior auth, and RCM in one product, with role-based access.
Patients and families
Arabic-first portal with a proper RTL layout. Book, check in, see medications, pay the share, and message the care team.
Regional operators
Ship KSA today and add Qatar tomorrow. Same build. The region pack is chosen at boot.
Standards and coding
FHIR R4HL7 v2NPHIESCHINafath (stand-in)ICD-10-AMSBSACHIAR-DRGLOINCSNOMED
Stack
FastAPI · PythonSQLAlchemy · MySQLReact · Vite · TypeScriptTailwindArabic i18n · RTLsystemd + nginxdocker-composeRegion packsAudit trail
Run HealthVerse in your region.
Send the currency, coding system, national rails, and identity scheme. We spin up an instance whose seed data already speaks it.